Organization Active NPI

Internal Med & Nephrology Assoc Inc

  • Specialist
  • Tampa, FL
National Provider Identifier
1417944232
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0057891 Issued in FL
Legal business name
INTERNAL MED & NEPHROLOGY ASSOC INC
Practice address
4710 N Habana Ave
Suite 300
Tampa, FL 33614-7161
Phone
(813) 890-8004
Fax
(813) 290-9691
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jesus Navarro, MD
Title
Physician
Phone
(813) 873-1016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0057891 FL Primary

Addresses

Primary practice location

4710 N Habana Ave
Suite 300
Tampa, FL 33614-7161

Mailing address

4710 N Habana Ave
Suite 300
Tampa, FL 33614-7161
Phone (813) 890-8004

Other identifiers 1

IdentifierTypeStateIssuer
373322000MedicaidFL

National Provider Directory

National Provider Directory

Locations

110 Patterson Rd
Haines City, FL 33844
Phone (863) 422-0800

4450 E Fletcher Ave
Ste D
Tampa, FL 33613
Phone (813) 632-8861

4710 N Habana Ave
Ste 300
Tampa, FL 33614
Phone (813) 873-1016

1602 N 21st St
Tampa, FL 33605
Phone (813) 247-5420

4553 Gunn Hwy
Tampa, FL 33624
Phone (813) 265-9733

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1417944232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE",
            "address_2": "SUITE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147161",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE",
            "address_2": "SUITE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147161",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MED & NEPHROLOGY ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-873-1016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0057891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373322000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.